45 CFR § 180 compliance
B · 85
This hospital published most of what § 180 requires.
●Machine-readable file published
●Gross / standard charges
●Discounted cash price
●Payer-specific negotiated rates
○Min / max negotiated charges
●Free, public, no login required
Procedures listed
2,229
Insurances with rates
25
CPT / HCPCS codes
0
Source MRF
Most expensive procedures (gross)
536
$52,458
FRACTURES OF HIP AND PELVIS WITHOUT MCC
Gross
$80,704
637
$40,580
DIABETES WITH MCC
Gross
$62,431
982
$32,886
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC
Gross
$50,594
559
$30,094
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC
Gross
$46,299
561
$29,523
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC
Gross
$45,421
949
$29,050
AFTERCARE WITH CC/MCC
Gross
$44,692
981
$27,574
EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC
Gross
$42,421
RX-79826
$25,741
ALTEPLASE 100 MG INTRAVENOUS SOLUTION
Gross
$39,602
560
$23,345
AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC
Gross
$35,915
291
$22,698
HEART FAILURE AND SHOCK WITH MCC
Gross
$34,920
853
$21,929
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC
Gross
$33,737
854
$20,394
INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC
Gross
$31,375
689
$18,577
KIDNEY AND URINARY TRACT INFECTIONS WITH MCC
Gross
$28,581
064
$17,626
INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC
Gross
$27,117
603
$17,307
CELLULITIS WITHOUT MCC
Gross
$26,626
310
$16,832
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC
Gross
$25,896
690
$15,108
KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC
Gross
$23,244
391
$14,243
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC
Gross
$21,913
RX-80908
$13,990
DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION
Gross
$21,524
192
$12,111
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC
Gross
$18,633
950
$12,046
AFTERCARE WITHOUT CC/MCC
Gross
$18,532
RX-129357
$11,320
DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE
Gross
$17,415
440
$10,465
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC
Gross
$16,101
439
$10,276
DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC
Gross
$15,809
392
$10,156
ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC
Gross
$15,625
RX-245937
$9,214
HUMAN PROTHROMBIN CMPX(PCC)-LANS 1,000 UNIT (800-1,280 UNIT) IV SOLUTION
Gross
$14,175
RX-211133
$8,073
ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN
Gross
$12,420
191
$7,544
CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC
Gross
$11,606
SUP-98000800211
$7,293
KNEE 4 HYBRID/POROUS-MERCY CAP 98000800211
Gross
$11,220
309
$6,850
CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC
Gross
$10,538
RX-232982
$6,136
EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION|RX AMT DISCARD/NOT ADMIN TO PT
Gross
$9,441
RX-190284
$6,131
DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE
Gross
$9,432
RX-253466
$5,826
DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE
Gross
$8,963
SUP-98000800210
$5,766
KNEE 3 HYBRID/POROUS-MERCY CAP 98000800210
Gross
$8,870
056
$5,751
DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC
Gross
$8,848
SUP-98000800209
$5,571
CMNT KNEE 2 - MERCY CAP 98000800209
Gross
$8,570
639
$5,157
DIABETES WITHOUT CC/MCC
Gross
$7,934
SUP-H-1 STRY
$5,135
H-1 STRY HIP CMNT STEM CROSS FIRE LINER ANY PRMY CUP H-1 STRY
Gross
$7,900
SUP-K-1 STRY
$5,135
K-1 STRY KNEE UNI TRIATHALON PKR K-1 STRY
Gross
$7,900
SUP-BPH1
$4,973
H-2 STRY HIP ANY PMRY STEM W METAL X3 LINER BPH1
Gross
$7,650
SUP-H1+
$4,973
H1+ STRY HIP CAP ADD ITEMS H1+
Gross
$7,650
SUP-K1+
$4,973
K1+ STRY KNEE CAP ADD ITEMS K1+
Gross
$7,650
563
$4,674
FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC
Gross
$7,190
RX-245938
$4,607
HUMAN PROTHROMBIN CPLX(PCC)-LANS 500 UNIT (400-640 UNIT) IV SOLUTION
Gross
$7,088
SUP-98000800208
$4,576
CMNT KNEE 1 - MERCY CAP 98000800208
Gross
$7,040
RX-129718
$4,528
DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE
Gross
$6,966
RX-209792
$4,496
DALBAVANCIN 500 MG INTRAVENOUS SOLUTION
Gross
$6,917
RX-196284
$4,366
HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION
Gross
$6,717
638
$4,067
DIABETES WITH CC
Gross
$6,256
PX-100001753
$4,023
App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm
Gross
$6,189
| Code | Description | Gross | Cash | Min payer | Max payer | # insurers |
|---|---|---|---|---|---|---|
| 536 | FRACTURES OF HIP AND PELVIS WITHOUT MCC | $80,704 | $52,458 | — | — | 54 |
| 637 | DIABETES WITH MCC | $62,431 | $40,580 | — | — | 55 |
| 982 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH CC | $50,594 | $32,886 | — | — | 55 |
| 559 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH MCC | $46,299 | $30,094 | — | — | 54 |
| 561 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITHOUT CC/MCC | $45,421 | $29,523 | — | — | 54 |
| 949 | AFTERCARE WITH CC/MCC | $44,692 | $29,050 | — | — | 54 |
| 981 | EXTENSIVE O.R. PROCEDURES UNRELATED TO PRINCIPAL DIAGNOSIS WITH MCC | $42,421 | $27,574 | — | — | 55 |
| RX-79826 | ALTEPLASE 100 MG INTRAVENOUS SOLUTION | $39,602 | $25,741 | — | — | 91 |
| 560 | AFTERCARE, MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC | $35,915 | $23,345 | — | — | 53 |
| 291 | HEART FAILURE AND SHOCK WITH MCC | $34,920 | $22,698 | — | — | 55 |
| 853 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH MCC | $33,737 | $21,929 | — | — | 55 |
| 854 | INFECTIOUS AND PARASITIC DISEASES WITH O.R. PROCEDURES WITH CC | $31,375 | $20,394 | — | — | 55 |
| 689 | KIDNEY AND URINARY TRACT INFECTIONS WITH MCC | $28,581 | $18,577 | — | — | 8 |
| 064 | INTRACRANIAL HEMORRHAGE OR CEREBRAL INFARCTION WITH MCC | $27,117 | $17,626 | — | — | 54 |
| 603 | CELLULITIS WITHOUT MCC | $26,626 | $17,307 | — | — | 55 |
| 310 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC | $25,896 | $16,832 | — | — | 54 |
| 690 | KIDNEY AND URINARY TRACT INFECTIONS WITHOUT MCC | $23,244 | $15,108 | — | — | 6 |
| 391 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITH MCC | $21,913 | $14,243 | — | — | 55 |
| RX-80908 | DIGOXIN IMMUNE FAB 40 MG INTRAVENOUS SOLUTION | $21,524 | $13,990 | — | — | 86 |
| 192 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITHOUT CC/MCC | $18,633 | $12,111 | — | — | 55 |
| 950 | AFTERCARE WITHOUT CC/MCC | $18,532 | $12,046 | — | — | 54 |
| RX-129357 | DARBEPOETIN ALFA 500 MCG/ML IN POLYSORBATE INJECTION SYRINGE | $17,415 | $11,320 | — | — | 91 |
| 440 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITHOUT CC/MCC | $16,101 | $10,465 | — | — | 55 |
| 439 | DISORDERS OF PANCREAS EXCEPT MALIGNANCY WITH CC | $15,809 | $10,276 | — | — | 55 |
| 392 | ESOPHAGITIS, GASTROENTERITIS AND MISCELLANEOUS DIGESTIVE DISORDERS WITHOUT MCC | $15,625 | $10,156 | — | — | 55 |
| RX-245937 | HUMAN PROTHROMBIN CMPX(PCC)-LANS 1,000 UNIT (800-1,280 UNIT) IV SOLUTION | $14,175 | $9,214 | — | — | 90 |
| RX-211133 | ANTIHEMOPHILIC FACTOR-VWF 2,000 (800 VWF) UNIT/10 ML INTRAVENOUS SOLN | $12,420 | $8,073 | — | — | 91 |
| 191 | CHRONIC OBSTRUCTIVE PULMONARY DISEASE WITH CC | $11,606 | $7,544 | — | — | 54 |
| SUP-98000800211 | KNEE 4 HYBRID/POROUS-MERCY CAP 98000800211 | $11,220 | $7,293 | — | — | 87 |
| 309 | CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC | $10,538 | $6,850 | — | — | 55 |
| RX-232982 | EPTINEZUMAB-JJMR 100 MG/ML INTRAVENOUS SOLUTION|RX AMT DISCARD/NOT ADMIN TO PT | $9,441 | $6,136 | — | — | 91 |
| RX-190284 | DENOSUMAB 60 MG/ML SUBCUTANEOUS SYRINGE | $9,432 | $6,131 | — | — | 91 |
| RX-253466 | DENOSUMAB-BMWO 60 MG/ML SUBCUTANEOUS SYRINGE | $8,963 | $5,826 | — | — | 87 |
| SUP-98000800210 | KNEE 3 HYBRID/POROUS-MERCY CAP 98000800210 | $8,870 | $5,766 | — | — | 87 |
| 056 | DEGENERATIVE NERVOUS SYSTEM DISORDERS WITH MCC | $8,848 | $5,751 | — | — | 54 |
| SUP-98000800209 | CMNT KNEE 2 - MERCY CAP 98000800209 | $8,570 | $5,571 | — | — | 87 |
| 639 | DIABETES WITHOUT CC/MCC | $7,934 | $5,157 | — | — | 55 |
| SUP-H-1 STRY | H-1 STRY HIP CMNT STEM CROSS FIRE LINER ANY PRMY CUP H-1 STRY | $7,900 | $5,135 | — | — | 87 |
| SUP-K-1 STRY | K-1 STRY KNEE UNI TRIATHALON PKR K-1 STRY | $7,900 | $5,135 | — | — | 87 |
| SUP-BPH1 | H-2 STRY HIP ANY PMRY STEM W METAL X3 LINER BPH1 | $7,650 | $4,973 | — | — | 87 |
| SUP-H1+ | H1+ STRY HIP CAP ADD ITEMS H1+ | $7,650 | $4,973 | — | — | 87 |
| SUP-K1+ | K1+ STRY KNEE CAP ADD ITEMS K1+ | $7,650 | $4,973 | — | — | 87 |
| 563 | FRACTURE, SPRAIN, STRAIN AND DISLOCATION EXCEPT FEMUR, HIP, PELVIS AND THIGH WITHOUT MCC | $7,190 | $4,674 | — | — | 55 |
| RX-245938 | HUMAN PROTHROMBIN CPLX(PCC)-LANS 500 UNIT (400-640 UNIT) IV SOLUTION | $7,088 | $4,607 | — | — | 90 |
| SUP-98000800208 | CMNT KNEE 1 - MERCY CAP 98000800208 | $7,040 | $4,576 | — | — | 87 |
| RX-129718 | DARBEPOETIN ALFA 200 MCG/0.4 ML IN POLYSORBATE INJECTION SYRINGE | $6,966 | $4,528 | — | — | 91 |
| RX-209792 | DALBAVANCIN 500 MG INTRAVENOUS SOLUTION | $6,917 | $4,496 | — | — | 91 |
| RX-196284 | HYDROXOCOBALAMIN 5 GRAM INTRAVENOUS SOLUTION | $6,717 | $4,366 | — | — | 86 |
| 638 | DIABETES WITH CC | $6,256 | $4,067 | — | — | 53 |
| PX-100001753 | App Skn Sub Trk/Arm/Leg 1st 100sqcm Twsa >=100 Sqcm | $6,189 | $4,023 | — | — | 87 |
Showing top 50 of 2,229 priced procedures, sorted by gross charge.
Data straight from this hospital's federally-mandated machine-readable file (45 CFR § 180). The compliance grade reflects how completely the hospital published the six required data elements, not the quality of care.